complaint·February 5, 2026

Continued on 9009-C..... House Manager provided billing statement from pest control who regularly inspect and mitigate rodents and other pests from infesting the facility. LPA found the facility taking all necessary precautions, including providing barriers at the base of the doors to keep pests from entering the premises, setting traps and employing pest control company. Based on LPA’s inspections and facility’s mitigation practices the allegation that Staff did not ensure that the facility was kept free of rodents is UNSUBSTANTIATED although the allegation may have occurred there is not a preponderance of evidence therefore the allegation is UNSUBSTANTIATED. The complaint alleges that Residents in care sustained falls due to neglect/lack of supervision. The reporting party stated that Staff are not able to supervise all residents in care, which has resulted in falls. RP provided no information about the names or dates of residents sustaining falls. LPA reviewed incident reports from April 1, 2025 through November 30, 2025 and found only one reported fall of Resident (R1) on 5/14/2025. LPA interviewed House Manager and Lead Caregiver who stated they check on residents at least every two hours, and there was only the one unwitnessed fall of R1. Resident 1’s care plan does not indicate resident required on one-to-one supervision. LPA observed that residents routinely spend the day together in the great room of the main building, under constant care and supervision of care staff. Based on LPA observation, residents’ care plan, incident reports and staff interviews, the allegation that Residents in care sustained falls due to neglect/lack of supervision is unsubstantiated. Although the allegation may have occurred there is not a preponderance of evidence to substantiate the allegation therefore the allegation that Residents i n care. The complaint alleges that Staff mismanaged residents’ medications and staff do not have proper training. The reporting party states Staff are not able to provide medications to residents on time and some staff do not have medication training which has caused medications errors. RP did not recall each resident’s name or specify a date or time when the incidents allegedly occurred. On 11/7/2025 and 02/05/2026 LPA reviewed the medication administration record (MAR) for the facility and found no irregularities for the months reviewed (October, November, December 2025 and January 2026). Continued on 9099-C Continued from 9099-C LPA also reviewed training records and found that staff administering medications had received the training required. Based on review of training records, the Medication Administration Record (MAR), the allegation that Staff mismanaged residents’ medications and staff do not have proper training are Unsubstantiated. Although the allegation may have occurred there is not a preponderance of evidence therefore the allegation is UNSUBSTANTIATED. No deficiencies were cited.